Appendix_6_HSE_Roles_and_Responsibilities_Agreement.docx

Appendix 6 Housing Search Roles and Responsibilities Agreement

Note on Form Purpose and Use This form is filled out by a Qualified Housing Search Entity and a Program Participant to establish a shared understanding of roles and responsibilities for housing search. The agreement is an essential step in communicating the collaborative nature of housing search and the importance of maintaining accountability to each other. A copy of the agreement is provided to the Program Participant.

Purpose This Roles and Responsibilities Agreement, between the Program Participant and the Housing Search Entity (HSE), outlines the cooperative nature of housing search and the teamwork approach that will be used to secure suitable housing options for the Program Participant. As applicable, case managers/transition coordinators and/or guardians may assist in fulfilling the Participant’s responsibilities as outlined below.

Mutual Agreement We recognize that housing search involves cooperative effort between the Program Participant and the Housing Search Entity. We commit to working together as a team to reach this mutual goal.

In my role as a qualified HSE staff member, I agree to carry out the following roles and responsibilities in a timely manner:

1. Assessing Participant’s housing preferences and needs.

2. Sharing knowledge of housing opportunities.

3. Recommending a specific list of housing opportunities to pursue.

4. Packaging blank housing applications.

5. Mailing completed applications and maintaining documentation.

6. Checking on status of submitted applications.

7. Continuing to identify housing options until a lease is secured.

8. Visiting available housing with the Participant (or his/her representatives).

9. Advocating for reasonable accommodations if needed.

10. Regularly keeping all parties informed of progress.

Signature of Qualified Housing Search Entity

Email Address

Printed Name

Phone

In my role as the Program Participant (or representative of the Participant), I agree to the following roles and responsibilities:

1. Meeting in-person, if possible, for an assessment with my HSE.

2. Responding to ongoing questions about my housing search.

3. Filling out applications and returning them to HSE within five business days. Asking for assistance when necessary.

4. Providing missing supporting documentation.

5. Focusing on my goal of attaining housing.

6. Viewing housing units that become available.

7. Meeting deadlines for finalizing the process of leasing a unit.

Signature of Program Participant

Phone

Printed Name

Email address, if applicable

Signature of Other Party, if applicable

Specify Role (e.g. Case Manager, Legal Guardian)

Printed Name

Phone Number & Email Address

Revised 3/2023